Cardiogenic Shock
Conditions
Keywords
mortality, outcomes, AMI, shock team, SCAI stage, intervention, IABP, ECMO
Brief summary
In Atlantic Canada, acute myocardial infarction occurs at a rate of 2.9 % of the population and is the most common cause of cardiogenic shock (CS). In many studies, acute myocardial infarction accounts for up to 80% of the patients with CS. While there are different methods of treating patients with CS, the rate of mortality has not significantly improved over the years and remains as high as 50%. Recent studies have shown that a multi-modal, team-based approach can help improve patient outcomes; however, such a standardized approach is yet to be implemented in the New Brunswick Heart Centre (NBHC). The study aims to understand the difference in outcomes between two groups of patients treated for CS: SHOCK TEAM versus non-SHOCK TEAM. This is a retrospective study of 168 patients using the data from NBHC registry and patient charts. The study duration is 1 year. The primary outcome is hospital survival. Secondary outcomes include time from diagnosis to invasive monitoring and intervention. All data will be analyzed statistically between the two groups. The end goal of the study is to establish standard guidelines to treat CS patients and improve patient survival.
Interventions
OTHERStandard care
No interventions were used, as this is an observational study.
Sponsors
New Brunswick Heart Centre
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
1\) Any patient admitted to the CCU with a diagnosis of CS (SCAI groups C, D or E) at any point during their CCU care.
Exclusion criteria
1\) CS patients having SCAI groups A, B (this group was used only for preliminary analysis, hence this is the
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage mortality | From the date of hospital admission at Saint John Regional Hospital to the date of discharge, assessed upto 6 months | Any in-hospital mortality (within Saint John Regional Hospital, another hospital after transfer) |
| Length of stay (LOS)) | From the date of hospital admission at Saint John Regional Hospital to the date of discharge, assessed upto 6 months | LOS was considered only for patients who were discharged directly home from Saint John Regional Hospital |
| Discharge disposition | From the date of hospital admission at Saint John Regional Hospital to the date of discharge, assessed upto 6 months | Discharge of patients home, transfer to another hospital or to another institution (special care home, extra-mural home) |
| Percentage of missed opportunities | From the date of hospital admission at Saint John Regional Hospital to the date of discharge, assessed upto 6 months | Missed opportunities was defined as patients who suffered significant delays or those who did not receive any intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time from diagnosis of shock to in-hospital processes | From the date of hospital admission at Saint John Regional Hospital to the date of discharge, assessed upto 6 months | Time gaps between the first diagnosis of a cardiogenic shock to in-hospital processes like invasive monitoring, cardiac catheterization or interventions (surgery, PCI, TAVI, IABP or ECMO). |
Countries
Canada
Outcome results
None listed